R6-6-1504.04. Contents of a Complete Application Package - Renewal Certificate

A renewal application is complete when the Division has all the following information: 1. From the applicant, the following items: a. AHCCCS provider registration form; b. Documentation of current CPR and First Aid training, current driver’s license, and applicable professional licenses and certifications, if prior documentation has expired; c. A completed declaration of criminal history every three years since the date of initial certification; and d. Documentation that fingerprints have been taken at three-year intervals. 2. From sources other than the applicant, documentation that the applicant’s home or office has passed a fire inspection every two years since the date of initial certification.